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Medical Supplies & Equipment Covered Services and Limitations Module
STANDERS / STANDING FRAMES
Standers and stander programs can aid in digestion, increase muscle strength, decrease
contractures, increase bone density and minimize decalcifications. Standers are covered
for clients with neuromuscular conditions who are unable to stand alone.
Equipment/Supplies:
•
Standers/Standing Frames
HCPCS Codes: E0637, E0638, E0641, E0642
Documentation:
• Written Order or Certificate of Medical Necessity or letter of medical necessity
or medical records to document:
o Diagnosis relevant to the requested equipment including functioning level
and ambulatory potential
o Include information about other equipment currently being used by the client
o Anticipated benefits of the equipment
o Frequency and amount of time of a standing program
o Anticipated length of time of a standing program
o Client’s height/weight/age
o Anticipated changes in the client’s needs, anticipated modifications, or accessory
needs, as well as the growth potential of the stander
Prior Authorization: Required
Reference: obtained from Texas Medicaid website